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MALNUTRITION
Sri S Nasar
UKK Nutrisi dan Peny.Metabolik
IDAI
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02/04/2016
Current Approach
‘’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’
115mm
350 kcal +
170-200 kcal /kg 15 g protein
OTP SFP
<115mm
SC/TFC/ITP
Valid International 2006
The 10 steps
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FEEDING
STABILIZATION TRANSITION REHABILITATION
F75 F100
F100+solid food
F75 OR:
F100 /
RUTF F100+ RUTF
E: 80-100 kkal/kgbb/h
P: 1-1.5 g/kgbb/h E: 100-150 kkal/kgbb/h E:150-220 kkal/kgbb/h
Cairan : 130 ml/kgbb/h P: 2-3 g/kgbb/h P: 4-6 g/kgbb/h
Cairan : 150 ml/kgbb/h Cairan : bebas
WHO vs PNC
BB aktual BB ideal
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• Rehabilitation : - appetite +
- F100 Regular diet + F100
• Discharge : - appetite ++, BW , medical problem resolves
- give suppl BMI > P5
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Note: ‡ There is no international agreement on the MUAC cut-off for adolescents and
adults. Available published data for adults suggests < 160 mm but this is currently
considered too low in non-famine contexts (including in the context of HIV/AIDS) and
cut-offs of < 180 mm or < 185 mm are most widely used by agencies
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